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Chiropractic

Back Clinic Chiropractic. Iyi imhando yeimwe nzira yekurapa inotarisa kuongororwa uye kurapwa kweakasiyana-siyana musculoskeletal kukuvara uye mamiriro, kunyanya ayo akabatana nemusana. Dr. Alex Jimenez anokurukura kuti kugadziriswa kwemusana uye kushandiswa kwebhuku nguva dzose kunogona kubatsira zvikuru zvose kuvandudza uye kubvisa zviratidzo zvakawanda zvinogona kukonzera kusagadzikana kumunhu. Chiropractors vanotenda pakati pezvikonzero zvikuru zvekurwadziwa uye zvirwere ndeyekukanganisa kwe vertebrae mumutsara wepinini (izvi zvinozivikanwa sechiropractic subluxation).

Kuburikidza nekushandiswa kwekuongorora kwemanyore (kana palpation), kunyatsoiswa kumanikidza, kukwiza, uye manyorero ekugadzirisa vertebrae uye majoini (anonzi magadzirirwo), chiropractors inogona kuderedza kumanikidzwa uye kutsamwa patsinga, kudzorera majoini kufamba, uye kubatsira kudzorera muviri homeostasis. . Kubva ku subluxations, kana spinal misalignments, kusvika kune sciatica, seti yezviratidzo pamwe chete nesciatic nerve inokonzerwa netsinga impingement, chiropractic kuchengetedza inogona kudzorera zvishoma nezvishoma chimiro chemunhu. Dr. Jimenez anounganidza boka remafungiro pamusoro pechiropractic kuti anyatso kudzidzisa vanhu pane zvakasiyana-siyana zvekukuvadzwa uye mamiriro ezvinhu anobata muviri wemunhu.


Swayback Posture: Zviratidzo, Zvinokonzera, uye Kushanda Kurapa

Swayback Posture: Zviratidzo, Zvinokonzera, uye Kushanda Kurapa

Chiropractic kurapwa inogona kuderedza marwadzo uye kugadzirisa swayback posture, postural deformity inogona kukonzera marwadzo emusana uye nyaya dzekufamba, kune vanhu vari kuzviona?

Swayback Posture: Zviratidzo, Zvinokonzera, uye Kushanda Kurapa

Swayback Posture

Swayback posture chinhu chinowanzoitika chinokanganisa pelvis uye majoini ehudyu akarereka kumberi. Izvi zvinokonzera kuti pelvis iende mberi, iyo inowedzera macurves muzasi uye kumusoro kumashure, inozivikanwa se lordosis uye kyphosis. Mboro inogona kurerekera kumashure zvichienzaniswa nehafu yepamusoro, zvichiita kuti matako apinde pasi. Mboro inoronga mafambiro emusoro, mapfudzi, uye hunde neayo etsoka, makumbo, uye zvidya. A neutral pelvis, iyo yakanaka chinzvimbo, inowanzo tsigira yakapfava curve/yakajairika lordosis muzasi musana. Iyo diki arch inobatsira muviri kudzikamisa skeletal nhengo padzinoshanda pamwechete kutsigira nekufambisa huremu hwemuviri. Kana postural deformity ikaitika, rimwe kana mamwe mapfupa anogona kusimuka kubva panzvimbo yavo yakanaka kuti atsigire chero marwadzo kana kurasikirwa kwechiyero kunokonzerwa nekutsauka kwepakutanga. Kutsauka uku kunogona kutungamira kune tsandanyama strain, ligament sprain, uye / kana kurwadziwa. (Czaprowski, D. et al., 2018)

Postural Deviations

Swayback posture inoita kuti musana wechipfuva uende kumashure uye uchitenderedza mu kyphosis. Panguva imwecheteyo, pelvis inorerekera mberi, zvichikonzera kuwedzeredza kweiyo yakajairika lumbar lordosis. (Czaprowski, D. et al., 2018)

  • Vatapi vehutano, chiropractors, uye varapi vemuviri vanoshandisa zviyero chaizvo kutsanangura nekurapa postural deformities.
  • A neutral pelvis inzvimbo yekuenzanisa iyo muviri wese unoshandisa kuibatsira kuti irambe yakatwasuka, inofamba, uye isina kurwadziwa.
  • Iyo yakanaka kana isina kwayakarerekera pelvic tilt ndeye 30-degree angle pakati peyakamira uye ndege inopfuura nepamusoro pe sacrum uye axis yehudyu yejoin socket pamberi.
  • Swayback posture inoita kuti pelvis irereke mberi mamwe madhigirii gumi.
  • Nekuda kweizvozvo, musana unobhadhara, kuwedzeredza macurves muzasi kumashure / lordotic curve uye pakati nepamusoro kumashure / kyphotic curve.
  • Kana ichitariswa kubva parutivi, vanhu vanogona kuona kumashure kumashure kweiyo thoracic musana.
  • Kumberi, chipfuva chinowanzonyura mukati.

Tsandanyama Group Imbalances

Vatariri vehutano vanotarisa kune vakasiyana vanopa kana zvikonzero zvekutsauka kwemashure. Swayback dzimwe nguva inogona kubatanidzwa nekusaenzana kwesimba pakati pemapoka emhasuru anofambisa chiuno, musana, uye pelvis uye kubata muviri wakatwasuka. Izvi zvinosanganisira:

  • Hudyu yakapera simba uye yakanyanyisa kusimba kana kuomesa hudyu extensors/ma hamstrings.
  • Matumbu akasimba ekumusoro, dumbu rezasi risina simba, uye mhasuru dzepakati-kumusana dzinogonawo kubatsira.
  • Chirongwa chekugadzirisa maekisesaizi mushure mekuona murapi wepanyama achabatsira kugadzirisa zvimwe kana zvese zviri pasi pekusagadzikana kwemhasuru.

Risk Factors

Nekuti huremu munharaunda yemudumbu hunokwevera pelvis kumberi, vakadzi vane nhumbu uye vanhu vakafutisa vanogona kuve nenjodzi yakawedzera yekugadzira swayback posture. (Vismara, L. et al., 2010)

zviratidzo

Zviratidzo zveswayback posture zvinowanzobatanidza:

  • Kurwadza kwakanyanya kuzasi
  • Kutadza kugara kana kumira kwenguva refu
  • Kunetseka kuita mamwe mabasa emuviri.
  • Kusimba muhamstrings uye hudyu flexors
  • Kutsikirirwa mumhasuru dzepamusoro
  • Musoro kana migraines

Chiropractic Treatment

Chiropractic gadziriso inowanzoshandiswa kugadzirisa swayback posture uye inogona kugadziriswa kuburikidza nemishonga yakasiyana-siyana. Izvi zvinosanganisira:

  • Kugadziriswa kwemusana: Chiremba anoshandisa kumanikidza kune dzimwe nzvimbo dzemusana kuti dzigadzirise uye kubatsira kudzoreredza basa remusana.
  • Non-surgery decompression
  • Mishonga yemasaji
  • Muscle Energy Technique, kana MET, inovandudza simba remhasuru, kuchinjika, uye basa.
  • Acupuncture
  • Maekisesaizi ekusimbisa nekudzikamisa mhasuru dzepakati
  • Kugadzirisa mararamiro ekubatsira kuderedza kushungurudzika pamusana
  • Mamiriro ekudzidzira
  • Biomechanics kudzidziswa

Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vekutanga vehutano uye nyanzvi kugadzira chirongwa chemunhu chekuchengetedza murwere wega wega kuburikidza nenzira yakabatanidzwa yekurapa kukuvara uye kusingaperi kurwadziwa syndromes, kuvandudza kuchinjika, kufamba, uye agility zvirongwa zvekubvisa marwadzo uye kubatsira vanhu kudzoka. kune optimal function. Kana mamwe marapirwo achidiwa, Dr. Jimenez akabatana nevarapi vepamusoro, nyanzvi dzekiriniki, vatsvakurudzi vezvokurapa, uye vagadziri vekugadzirisa kuti vape mishonga inobatsira zvikuru.


Mawaniro Andakaita Kufamba Kwangu Kudzoka NeChiropractic Care


References

Czaprowski, D., Stoliński, Ł., Tyrakowski, M., Kozinoga, M., & Kotwicki, T. (2018). Zvisiri-zvimiro zvisizvo zvechimiro chemuviri mune sagittal ndege. Scoliosis uye spinal kusagadzikana, 13, 6. doi.org/10.1186/s13013-018-0151-5

Vismara, L., Menegoni, F., Zaina, F., Galli, M., Negrini, S., & Caodaglio, P. (2010). Mhedzisiro yekufutisa uye kurwadziwa kwepashure pakufamba kwepinini: chikamu chechikamu chekudzidza muvakadzi. Nyaya yeNeuroengineering uye Rehabilitation, 7, 3. doi.org/10.1186/1743-0003-7-3

Zvirwere Zvinoenderana Nekupisa uye Kukanganisa Kwazvo paMusculoskeletal System

Zvirwere Zvinoenderana Nekupisa uye Kukanganisa Kwazvo paMusculoskeletal System

Vanhu vane kurwadziwa kwetsandanyama vanoziva here mutsauko uripo pakati pekupisa kupisa uye kupera simba uye vanogona kuwana nzira dzekugara uchitonhorera?

ziviso

Sezvo tembiricha inokwira pasi rose, vanhu vazhinji vari kunakidzwa nenguva yavo kunze uye kuwana zuva rakawanda muhupenyu hwavo. Zvisinei, kukwira kwekushisa kunorevawo kuwedzera kwezvirwere zvinokonzerwa nekupisa. Zvirwere zviviri zvakajairika zvine chekuita nekupisa kupisa uye kupera simba, izvo zvinogona kukanganisa musculoskeletal system yemunhu uye zvine zviratidzo zvakasiyana maererano nekuomarara. Chinyorwa chanhasi chinotarisa mutsauko uripo pakati pezvirwere zviviri izvi zvine chekuita nekupisa, mabatiro azvinoita musculoskeletal system uye marapirwo kuti agare achitonhorera achideredza kurwadziwa kwetsandanyama. Isu tinokurukurirana nevanozivikanwa vanobatana nevanorapa vanosimbisa ruzivo rwevarwere vedu kuti vaongorore zvirwere zvine chekuita nekupisa zvine chekuita nekurwadziwa kwemisumbu. Isu tinozivisawo uye kutungamira varwere tichibvunza avo vanobatana navo vekurapa mibvunzo yakaoma yekubatanidza marapirwo uye nzira dzekugara uchitonhorera kana tembiricha ichikwira uye kuderedza kurwadziwa kwemhasuru. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer.

 

Kupisa Kupera VS Kupisa Stroke

Nekunzwisisa mutsauko pakati pekupisa kupisa uye kupera kupisa kwakakosha. Iwe unowanzonzwa kupisa mushure mekuita zvinhu zviri nyore here? Wakambonzwa marwadzo etsandanyama kana makumbo here? Kana kuti unonetseka kuti utonhorere? Izvi zvose zviratidzo zvezvirwere zvinokonzerwa nekupisa. Zvirwere zvinokonzerwa nekupisa zvinowanzoitika kana muviri usingakwanise kubvisa kupisa, zvichiita kuti kusashanda kwethermoregulation. (Gauer naMeyers, 2019) Mhando mbiri dzinonyanya kuzivikanwa ndeyekupisa kuneta uye kupisa kupisa. Kunyange vachigovana zvikonzero zvakafanana, ivo vanosiyana zvakanyanya maererano nekuoma, zviratidzo, uye kurapwa. (Kudzivirira, 2022)

 

 

 

Kupera nekupisa chinhu chakapfava chinowanzoitika apo muviri wemunhu unorasikirwa nemvura yakawandisa nemunyu kubva mukudikitira zvakanyanya. Izvi zvinoita kuti kupisa kwekunze kuve pakati nepakati kana kwakabatana nekuita basa rakasimba remuviri. (Leiva neChechi, 2024) Uyezve, kana munhu achinge aneta nekuneta, zvimwe zvezviratidzo zvaachasangana nazvo zvinosanganisira:

  • Kudikitira zvine simba
  • Kuneta
  • Headaches
  • Muscle makampu
  • Pale, inotonhorera, ganda rakanyorova
  • Kukurumidza, kupera simba

Kunyangwe kupera simba kuri mamiriro ane chekuita nekupisa, kunogona kushanduka kuita mamiriro akanyanya ekupisa senge sitiroko yekupisa kana ikasarapwa nekukurumidza. Heat sitiroko chirwere chakakomba chine chekuita nekupisa icho chisiri chekutyisidzira hupenyu chete asi ine zvimiro zviviri zvinogona kukanganisa kupisa kwemuviri wemunhu: classic uye exertional. Classic heat sitiroko inowanzobata vanhu vakura vane zvirwere zvisingaperi, ukuwo kupisa kwesimba kunobata vanhu vane hutano vari kuita zvinhu zvinonetesa zvemuviri. (Morris naPatel, 2024) Zvimwe zvezviratidzo zvine chekuita nekupisa sitiroko zvinosanganisira:

  • Kupisa kwemuviri kwakanyanya (104°F kana kupfuura)
  • Kupisa, tsvuku, ganda rakaoma
  • Kurumidza, kurova kwakasimba
  • Kusanganiswa
  • Kugumburwa
  • Kurasikirwa kwekuziva

 

Mamiriro ose ari maviri anobata sei tsandanyama?

Zvirwere zvese zvine chekuita nekupisa zvinogona kukanganisa zvakanyanya musculoskeletal system uye zvinokonzeresa kurwadziwa kwemhasuru kwete kumagumo chete asiwo nemuviri wese system. Nyaya iyi inobata musculoskeletal system uye inogona kutungamira kune kurwadza kwemhasuru cramps, involuntary muscle contractions, uye kurwadziwa mhasuru. Sezvo kurwadziwa kwetsandanyama kuri mamiriro ezvinhu akawanda, zvirwere zvine chekuita nekupisa senge kupisa uye kuneta zvinogona kukanganisa mararamiro emunhu uye hutano husina kunaka. (Caneiro et al., 2021) Kana izvozvo zvikaitika, vanhu vazhinji vanogona kutsvaga marapirwo ekuti vagare vachitonhorwa kubva pakuneta nekupisa uye kuderedza kurwadziwa kwetsandanyama.

 


Zvakavanzika ZveOptimal Wellness-Vhidhiyo


Kurapa Kwekugara Kutonhorera & Kuderedza Kurwadza Kwetsandanyama

Kunyange zvazvo zvakakosha kunzwisisa mutsauko pakati pekupisa kupisa uye kupera kwekupisa nekuda kwekukosha kwenguva uye kupindira kunobudirira, kutsvaga marapirwo akasiyana-siyana ekuderedza marwadzo emisumbu uye kutsvaga nzira dzekugara uchitonhorera zvakakosha. Vanhu vazhinji vanogona kupfeka tekinoroji kuti vatarise chimiro chemunhu uye kudzivirira kukuvara uku vachikurumidza kuvhenekwa zvirwere zvine chekuita nekupisa. (Dolson et al., 2022) Izvi zvinogona kuderedza mikana yekurwadziwa kwetsandanyama uye kubatsira kugadzirisa kupisa kwemuviri. Kune vanhu vanobata nekuneta kwekupisa, vanogona:

  • Enda kunzvimbo inotonhorera
  • Iva wakanyatso-hydrated nemvura uye electrolyte-rich drink
  • Zorora
  • Pfeka mbatya dzinotonhorera kuderedza kupisa kwemuviri

Kune vanhu vanobata nekupisa sitiroko, vanogona:

  • Dana rubatsiro rwechimbichimbi nekukasika
  • Isa zvipfeko zvinotonhorera kana ice packs kune iyo muviri
  • Tarisa zviratidzo zvinokosha

Kurapa kwese kuri kuviri kunogona kuve nemhedzisiro yakanaka mukudzivirira mamiriro ehupenyu anotyisidzira anogona kukanganisa musculoskeletal system.

 

mhedziso

Tichifunga nezve kukosha kwakanyanya kupisa sitiroko uye kupera simba kunogona kuita pane musculoskeletal system, zvakakosha kutora matanho ekutanga. Yakakodzera hydration, kutonhora, uye kuzorora zvinogona kubatsira kubata uye kuderedza marwadzo emhasuru ane chekuita nezvirwere izvi zvine chekuita nekupisa. Nekugara uine ruzivo, kuchengetedza hydration, uye kutora matanho ekuzvidzivirira kubva pakupisa kwakanyanya, unogona kuderedza zvakanyanya mikana yezvirwere izvi zvine chekuita nekupisa zvinokanganisa zviitiko zvako zvekunze.

 


References

Caneiro, JP, Bunzli, S., & O'Sullivan, P. (2021). Zvinotendwa nezvemuviri uye kurwadziwa: iyo yakakosha basa musculoskeletal kurwadziwa manejimendi. Braz J Phys Ther, 25(1), 17-29. doi.org/10.1016/j.bjpt.2020.06.003

Dolson, CM, Harlow, ER, Phelan, DM, Gabbett, TJ, Gaal, B., McMellen, C., Geletka, BJ, Calcei, JG, Voos, JE, & Seshadri, DR (2022). Kupfeka Sensor Tekinoroji yeKufanotaura Core Kupisa Kwemuviri: Ongororo Yakarongeka. Sensors (Basel), 22(19). doi.org/10.3390/s22197639

Gauer, R., & Meyers, BK (2019). Zvirwere Zvinoenderana Nekupisa. American Family Physician, 99(8), 482-489. www.ncbi.nlm.nih.gov/pubmed/30990296

www.aafp.org/pubs/afp/issues/2019/0415/p482.pdf

Leiva, DF, & Chechi, B. (2024). Kupisa Chirwere. In StatPearls. www.ncbi.nlm.nih.gov/pubmed/31971756

Morris, A., & Patel, G. (2024). Kupisa Stroke. In StatPearls. www.ncbi.nlm.nih.gov/pubmed/30725820

Kudzivirira, C. f. DC a. (2022). Kushungurudzika kwekupisa - chirwere chinoenderana nekupisa. Sangano reNational Institute for Occupational Safety and Health (NIOSH) Yakadzorerwa kubva www.cdc.gov/niosh/topics/heattress/heatrelillness.html#cramps

Disclaimer

Simbisa Hutano Hwako neCycling uye Osteoarthritis

Simbisa Hutano Hwako neCycling uye Osteoarthritis

Vanhu vane osteoarthritis vanogona here kubatanidza bhasikoro kuti vaderedze kurwadziwa kwemajoini uye kuwanazve kufamba kwavo kwemajoini?

ziviso

Majoini ari musculoskeletal system anobvumira munhu kuti afambe achibvumira migumo kuita mabasa avo. Kungofanana nemhasuru nemarunda emuviri, majoini anogonawo kupfeka uye kubvaruka kuburikidza nekudzokorora mafambiro, zvichitungamira kumarwadzo emajoini mumigumo. Nekufamba kwenguva, kupfeka uye kubvarura kubva pamajoini kunogona kutungamirira mukukwanisa kukura kweosteoarthritis, iyo inogona kukanganisa kufamba kwemajoini uye kutungamirira kuhupenyu hwemarwadzo uye kusuruvara kune vanhu. Nekudaro, nzira dzakawanda dziripo dzekudzikisa kurwadziwa-senge zviratidzo zveosteoarthritis uye kubatsira kudzoreredza kufamba kwemajoini kuburikidza nekuchovha bhasikoro. Chinyorwa chanhasi chinotarisa kuti osteoarthritis inobata sei majoini, kuti bhasikoro rinopinzwa sei kune osteoarthritis, uye kuti rinogona kuderedza sei marwadzo emajoini. Isu tinokurukurirana nevanozivikanwa vanobatana nevanorapa vanosimbisa ruzivo rwevarwere vedu kuti vaongorore osteoarthritis uye zviratidzo zvayo zvinorwadza zvinokanganisa majoini mumigumo. Isu tinozivisawo uye kutungamira varwere vachibvunza avo vanosanganisirwa vekurapa mibvunzo yakaoma yekubatanidza bhasikoro muchirongwa chavo chemunhu chekurapa kubata marwadzo ane chekuita neosteoarthritis inobata majoini avo. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer.

 

Osteoarthritis Inobata Joint Mobility

Iwe unonzwa kurwadziwa uye kuomarara mangwanani ega ega mumajoini ako chete kuti unzwe zviri nani zuva rese? Unonzwa kurwadziwa mumabvi ako, muhudyu, uye mumaoko here? Kana kuti wakaona here kuti huwandu hwekufamba kwako hwadzikira zvakanyanya? Vanhu vazhinji, vadiki nevakuru, vanogona kukanganiswa nenyaya dzakadai sekurwadziwa uye vanogona kunge vari panjodzi yekuva neosteoarthritis mumajoini avo. Osteoarthritis ndiyo yakakura uye yakajairika musculoskeletal mamiriro ayo anokonzera kukanganisa kweiyo inoputika cytokine chiyero, ichikuvadza shwashwa uye mamwe intra-articular zvimiro zvakatenderedza majoini. (Molnar et al., 2021) Izvi zvinodaro nekuti osteoarthritis inokura nekufamba kwenguva, zvichiita kuti shwashwa risare uye zvichiita kuti mapfupa anobatana akwesherana. Izvi, zvakare, zvinogona kukanganisa kufamba kwekubatana kwekupedzisira, zvichiita zviratidzo zvekuoma, kurwadziwa, kuzvimba, uye kuderedzwa kwekufamba kune majoini.

 

 

Pamusoro pezvo, osteoarthritis ine multifactorial sezvo ichigona kukonzera kusaenzana mumajoini nekuda kwemajini, zvakatipoteredza, metabolic, uye zvinoshungurudza zvinhu zvinogona kubatsira mukukura kwayo. (Noriega-Gonzalez et al., 2023) Izvi zvinodaro nekuti kudzokorora mafambiro uye zvakatipoteredza zvinogona kukanganisa muviri uye kukonzera kupindirana kwengozi profiles kuti ienderane neosteoarthritis. Mamwe maprofayiri enjodzi anosanganisirwa ane chekuita neosteoarthritis kuchinja kwepathological muchimiro chejoinhi chinokonzera kusajairika kurodha pamajoini, izvo zvinokonzeresa kusarongeka kwemajoini uye kushaya simba kwemhasuru. (Nedunchezhiyan et al., 2022) Izvi zvinoita kuti vanhu vakawanda vagare vachirwadziwa uye vachiedza kuwana zororo kubva kumarwadzo emajoini ane chekuita neosteoarthritis.

 


Chiropractic Solutions For Osteoarthritis-Vhidhiyo


Cycling For Osteoarthritis

Kuita mabasa emuviri kunogona kuita sekunetse kana uchibata zviratidzo zveosteoarthritis, asi zvinogona kubatsira kudzoreredza kufamba kwemajoini nekuderedza marwadzo ane chekuita neosteoarthritis. Chimwe chezviitwa zvemuviri zvine kakukanganisa uye zvisingakanganisi majoini ndeyekuchovha bhasikoro. Cycling ye osteoarthritis ine zvinhu zvakawanda zvinobatsira sezvazvinogona:

  • Simbisa tsandanyama dzakapoteredza
  • Chengetedza kufamba kwemajoini
  • Kuvandudza huwandu hwekufamba
  • Weight management
  • Kuvandudza hutano hwemoyo

Kuchovha bhasikoro kunogona kubatsira munhu kuisa pfungwa pakusimbisa mhasuru dzepasi dzakatenderedza majoini, izvo zvinogona kubatsira kuvandudza marwadzo nekushanda. (Katz et al., 2021) Izvi, zvakare, zvinobatsira kupa rubatsiro rwakanaka uye kugadzikana kune majoini, nokudaro kuderedza kuwandisa pamuviri nekuderedza njodzi yekukuvara. Pamusoro pezvo, kuchovha bhasikoro kunogona kubatsira kuvandudza vanhu vazhinji vari kutsvaga shanduko ine hutano uye kuwedzera bhonzo mineral density mumajoini, nokudaro kuderedza njodzi yekutyoka. (Chavarrias et al., 2019)

 

Cycling Kuderedza Joint Pain

Kuchovha bhasikoro chiitiko chakachengeteka uye chinoshanda kune chero munhu, angave achangotanga kana kuti anga ave nenguva achishanda. Chinokosha chekugadzirisa zvakakwana uye kushanda pamwe chete ndiko kubvunza chiremba. Izvi zvinovimbisa kuti kuchovha bhasikoro isarudzo yakachengeteka kwauri, zvinokubatsira kusarudza bhasikoro rakakodzera, uye zvinokupa gwara rekuti unotanga sei zvishoma nezvishoma, kudziya nekutambanudza, kuchengetedza chimiro chakakodzera, uye kugara uchienderana nezvikamu zvebhasikoro. Iyi nhungamiro yehunyanzvi yakakosha, sezvo ichibvumira vanhu vazhinji vane kurwadziwa kwemajoini kuti vakwanise kudzoreredza kushanda kuzere kumajoini avo. (Papalia et al., 2020) Kuchovha bhasikoro inzira yakanaka kwazvo yekubata osteoarthritis uye zviratidzo zvayo zvinobatanidzwa. Kune vanhu vazhinji vane osteoarthritis, iyi yepasi-inokanganisa kurovedza muviri inogona kushandura mutambo, kukurudzira kusimba kwemhasuru, kuvandudza majoini ekufamba, uye kubatsira kuderedza osteoarthritis zviratidzo.

 


References

Chavarrias, M., Carlos-Vivas, J., Collado-Mateo, D., & Perez-Gomez, J. (2019). Utano Hwakanaka hweIndoor Cycling: Ongororo Yakarongeka. Medicina (Kaunas, Lithuania), 55(8). doi.org/10.3390/medicina55080452

Katz, JN, Arant, KR, & Loeser, RF (2021). Kuongororwa uye Kurapa kweHip uye Knee Osteoarthritis: Ongororo. JAMA, 325(6), 568-578. doi.org/10.1001/jama.2020.22171

Molnar, V., Matisic, V., Kodvanj, I., Bjelica, R., Jelec, Z., Hudetz, D., Rod, E., Cukelj, F., Vrdoljak, T., Vidovic, D., Staresinic, M., Sabalic, S., Dobricic, B., Petrovic, T., Anticevic, D., Boric, I., Kosir, R., Zmrzljak, U. P., & Primorac, D. (2021). Cytokines uye Chemokines Inobatanidzwa muOsteoarthritis Pathogenesis. Int J Mol Sci, 22(17). doi.org/10.3390/ijms22179208

Nedunchezhiyan, U., Varughese, I., Sun, AR, Wu, X., Crawford, R., & Prasadam, I. (2022). Kufutisa, Kuzvimba, uye Immune System muOsteoarthritis. Pamberi Immunol, 13, 907750. doi.org/10.3389/fimmu.2022.907750

Noriega-Gonzalez, D., Caballero-Garcia, A., Roche, E., Alvarez-Mon, M., & Cordova, A. (2023). Inflammatory process paKnee Osteoarthritis muCyclists. J Clin Med, 12(11). doi.org/10.3390/jcm12113703

Papalia, R., Campi, S., Vorini, F., Zampogna, B., Vasta, S., Papalia, G., Fossati, C., Torre, G., & Denaro, V. (2020). Basa Rekuita Kwemuviri uye Kudzoreredza Kutevera Hip uye Knee Arthroplasty muVakuru. J Clin Med, 9(5). doi.org/10.3390/jcm9051401

Disclaimer

A Clinical Approach: Basa reMukoti muKuchengeta Murwere

A Clinical Approach: Basa reMukoti muKuchengeta Murwere

Vashandi vehutano vanopa sei nzira yekiriniki mubasa rehukoti kuderedza marwadzo muvanhu?

ziviso

Tsika yeVanamukoti Vakanyoreswa (RN), Advanced Practice Registered Nurses (APRN), uye Licensed Practical Nurses (LPN) inotongwa neNurse Practice Act. Vanamukoti vanoshanda muhunyanzvi hwepamusoro vanofanirwa kuchengetedza hunyanzvi hwavo hwekudzidzira uye ruzivo, izvo zvinosanganisira kujairana nemitemo nemirau ine chekuita nebasa ravo. Kudzidzira hukoti hunoshanda kunotenderwa kune Vane Marezenisi Anoshanda Vanamukoti (LPNs). Chinyorwa chanhasi chinotarisa basa rehukoti. Isu tinokurukurirana nevazivisi vane hukama nevanorapa vanobatanidza ruzivo rwevarwere vedu kuti vaongorore chero kurwadziwa kana kusagadzikana kwavari kuita. Isu tinozivisawo uye kutungamira varwere pavanenge vachibvunza avo vanobatana navo vekurapa mibvunzo yakaoma kuti ibatanidze muhurongwa hwavo hwekurapa hwemunhu kugadzirisa marwadzo. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer.

 

Mabasa Muukoti

The Nurse Practice Act inotsanangura hukoti hunoshanda se "kuita kwezviito zvakasarudzwa zvakasiyana-siyana, kusanganisira kutonga kwekurapa kwakawanda nemishonga, mukuchengeta vanorwara, vakakuvara, nekupa kusimudzira kwehutano, kuchengetedza hutano nekudzivirira zvirwere panguva yekutevera pasi. kutungamirirwa nana mukoti akanyoreswa, chiremba ane rezinesi, chiremba wemapfupa, chiremba wemazino, kana chiremba wemazino ane rezinesi.” Yakagadziridzwa muna 2014 uye ikozvino inodzidzisa hutano hwakakura uye hutano pfungwa kune vasiri vana mukoti uye neruzhinji. Chinangwa chikuru cheRN ndechekutsigira kuwanikwa kwehutano kune vanhu vari kurwadziwa kana vari kubata nenyaya dzisingaperi. (Cassiani & Silva, 2019)

 

Vanhu vazhinji vari pasi pekutariswa namukoti akanyoreswa, chiremba, kana chiremba wemazino, vanhu vakapedza prelicensure inoshanda chirongwa chedzidzo yehukoti chakabvumwa neBhodi, chirongwa chedzidzo yeukoti chehunyanzvi, uye vakapedza kudzidza vanoita zvehukoti vanokodzera sevadzidzi vehunyanzvi hwehukoti; zvisinei, vanamukoti vane rezinesi vane marezinesi vasati vapedza kosi yakataurwa pasi peRule 64 B9-12.005, FAC, vanogona kuita diki diki yekurapa kwetsinga. Rudzi urwu runosanganisira:

Intravenous Therapy Mukati meChikamu cheMukoti Anoshanda:

  • Verenga uye gadzirisa kuyerera kweiyo IV kurapwa.
  • Tarisa uye taura zvese zviri pasi uye zvine chinangwa zviratidzo zveakasiyana maitiro kune IV kutonga kumurwere.
  • Inofanirwa kuongorora nzvimbo yekuisirwa, kushandura kupfeka, uye kubvisa tsono inopinza kana catheter kubva mutsinga dzeperipheral.
  • Mabhegi ekurembera kana mabhodhoro emvura inoyerera.

Intravenous Therapy Kunze kweChikamu cheMukoti Anoshanda:

  • Kutanga kweropa uye zvigadzirwa zveropa
  • Kutanga kana kutungamirirwa kwekenza chemotherapy
  • Kutanga kwekuwedzera kweplasma
  • Kutanga kwekutonga kwemishonga yekuongorora
  • Kuita IV mhinduro
  • IV kusunda, kunze kweheparin flushes uye saline flushes

Zvakakodzera kuti vanamukoti vane marezenisi vapihwe varwere vanenge vachirapirwa zvakadaro, kunyangwe mutemo uyu uchirambidza kuitwa kwevanamukoti vane marezenisi. 64B-12.005 Zvinodiwa Pakugona uye Ruzivo runodiwa kuti LPN ive yakakodzera kupa IV kurapwa. Kana iyo IV Therapy Course Guidelines yakaburitswa neNational Federation of Licensed Practical Nurses Education Department ikapera, LPN inogona kupihwa certification yekupa IV therapy. Iyo LPN inogona kutora chikamu mukuwedzera kudzidziswa kupa IV kurapwa kuburikidza nepakati mitsetse ichitariswa neRN. "Iyo Central Lines. Bhodhi rinobvuma kuti Mukoti Anoshanda Ane Marezenisi, sekutsanangurwa kwazvinoitwa muchikamu 64B9-12.002, FAC, anogona kupa mushonga wekupinda mutsinga kuburikidza nemitsetse yepakati pasi pekutariswa nana mukoti akanyoreswa nedzidzo nekudzidziswa. Maawa mana emurairo ndiwo mashoma anodiwa padzidzo yakakodzera uye kudzidziswa. Maawa makumi matatu edzidzo yekurapa mutsinga inodiwa pachikamu chemutemo uyu anogona kusanganisira maawa mana ekudzidziswa. Zvirinani, didactic uye kiriniki yekudzidzira kuraira munzvimbo dzinotevera dzinofanirwa kuverengerwa mudzidzo uye kudzidziswa kunopihwa nechikamu ichi:

  • Pakati venous anatomy uye physiology
  • CVL saiti kuongororwa
  • CVL kupfeka uye cap kuchinja
  • CVL kupisa
  • CVL mishonga uye kutungamirirwa kwemvura
  • CVL kudhirowa ropa
  • CVL matambudziko uye matanho ekugadzirisa

Iye Mukoti Anoshanda Ane Rezinesi anozoongororwa pakiriniki yekudzidzira, kugona, uye ruzivo rwedzidziso uye kudzidzira mushure mekupedza kosi yekurapa intravenous kuburikidza nemitsetse yepakati. Mukoti Akanyoreswa anofanira kupupurira kuongororwa kwekiriniki uye kuisa chirevo chehunyanzvi paMukoti Anoshanda Ane Rezinesi. Mukoti Anoshanda Ane Rezinesi anozoongororwa pakuita zvekiriniki, kugona, uye ruzivo rwe theoretical uye maitiro. Mukoti Akanyoreswa anoona nezvekuongorora mashandiro ekiriniki anofanirwa kusaina chirevo chehunyanzvi chinopupurira kugona kwaMukoti Anoshanda ane Rezenisi mukuraira kurapwa kwetsinga kuburikidza nemitsetse yepakati. Faili revashandi remunyoreri rine rezenisi rinoshanda rinofanira kunge riine chirevo chehunyanzvi. 64B9-12.005 code.

 

Hukoti hwehunyanzvi hunoitwa nevakoti vakanyoreswa (RNs). Mutemo weNurse Practice unotsanangura izvi se "kuita kwezviitwa zvakawanda zvinoda ruzivo rwakanyanya, kutonga, uye hunyanzvi hwehukoti hwakavakirwa pamisimboti inoshandiswa yesainzi yepfungwa, yebhayoroji, yemuviri, uye yemagariro." Hukoti hwehunyanzvi hunodarika maoko-pakutarisira kusanganisira kuongororwa kwehukoti, kuronga, kutarisa, uye kudzidzisa vamwe vashandi mudzidziso uye kuita chero basa rataurwa pamusoro. Pamusoro pezvo, vanamukoti vanofanirwa kushandisa zviitiko zvakawanda kubatsira varwere nekunzwisisa kunzwira tsitsi kuti vanzwe vakasununguka uye vakachengeteka. (Torres-Vigil et al., 2021)

 

Nhumwa & Zvitupa Zvehukoti

Kuendesa mabasa kune mumwe mupi wehutano kana munhu ane hunyanzvi asina rezenisi kunobvumidzwa neFlorida Nurse Practice Act. Paunenge uchipa basa kana chiitiko, mukoti akanyoreswa (RN) kana mukoti ane rezinesi anoshanda (LPN) anofanira kufunga zvakakodzera. Vaifanira kufunga nezve mukana wekukuvara kwemurwere, kuoma kwebasa, mhedzisiro yemhedzisiro kana kusatarisika, uye zviwanikwa-kusanganisira vashandi nemidziyo-inowanikwa munharaunda yemurwere. Iyo RN neLPN inogona kupa mabasa ari kunze kwekutarisira kana kupa basa rekuita kwemukoti. Aya mabasa anosanganisira kuona kuongororwa kwevanamukoti kana kududzira kuongororwa kwevanamukoti, kugadzira hurongwa hwekutarisira, kumisa zvinangwa zveukoti, uye kuongorora kufambira mberi kwechirongwa chekuchengeta. Basa rehukoti nderekusimudzira kurudziro uye kugadzira hukama hwakananga nevarwere. (Ventura et al., 2020)

464.0205 Retired Mukoti Anozvipira Mukoti Chitupa

Mukoti akasiya basa kana akanyoreswa anogona kunyorera gwaro rekuzvipira kubva kuBoard of Nursing kuti ashande nevarombo, varombo, kana vanorwara zvakanyanya. Ivo vanotariswa zvakananga nachiremba, mukoti wepamusoro akanyoreswa mukoti, mukoti akanyoreswa, director wedhipatimendi rehutano mudunhu, uye:

  • Inopa masevhisi pasi pechitupa chete muzvirongwa zvakatsigirwa zvakabvumidzwa neBhodi
  • Chiyero chekudzidzira kune anozvipira anovimbiswa inogumira kune yekutanga uye yekudzivirira hutano hwehutano neBhodi.

Mukoti akazvipira pamudyandigere haafaniri:

  • Ronga zvinhu zvinodzorwa
  • Tarisa mamwe manesi
  • Gamuchira muripo wemari

464.012 Advanced Practice Registered Nurse (APRN)

"Mutemo weBarbara Lumpkin Prescribing Act" wakarongwa kusvika kumagumo e2018. Mutemo uyu unobatsira vashandi vakawanda kushandura chitupa kuva rezinesi, uye unotanga kushanda musi wa1 Gumiguru 2018. vakanyoreswa mukoti varapi kana nyanzvi dzekiriniki mukoti kubva munaGunyana 30, 2018, kudzidzira se advanced practice registered nurses (APRNs). Kusvikira dhipatimendi neBhodi vapedza shanduko kubva kuchitupa kuenda kurezenisi, yakagadzwa pasi peMutemo uyu, mukoti akanyoreswa akanyoreswa akabata chitupa chekudzidzira musi wa30 Gunyana 2018, anogona kuenderera mberi nekudzidzira nekodzero dzese, mvumo, uye mabasa ari pasi chikamu ichi cherezenisi semukoti wepamusoro akanyoreswa. Vanogonawo kushandisa zita rinoshandiswa pasi pes.464.015 mushure mezuva rekushanda kweMutemo uyu.

Bhodhi reNursing rinoda zvinotevera kumisa rezinesi reAPRN:

  • Mukoti anoda kuve mukoti wepamusoro akanyoreswa mukoti anofanirwa kunyorera kudhipatimendi reAPRN, ape magwaro ekuti anozadzisa zvinodiwa neBoard, uye ave nerezinesi rinoshanda rekudzidzira ukoti hwehunyanzvi kana rezenisi rinoshanda renyika dzakawanda kudzidzira hukoti nehunyanzvi. s. 464.0095.
  • Kubvumidzwa neakakodzera specialty board. Kuti uve mukoti ane chitupa mune chero dhipatimendi rehukoti uye kuti uvandudze rezinesi rako razvino renyika, unofanira kutanga wawana chitupa ichi. Kwenguva inofungidzirwa kuti yakakodzera kugadzirira nekupasa bvunzo dzetifiketi yenyika, Bhodhi rinogona, nemutemo, kupa mukoti akanyoreswa anesthetist, nyanzvi mukoti wekiriniki, vanamukoti vane ziviso, vanamukoti vepfungwa, uye vakanyoreswa mukoti nyamukuta rezenisi renyika.
  • Kuzadza chirongwa che master mune yekiriniki yeukoti specialty ndima uye kudzidziswa kunyanya hunyanzvi hwevarapi. Kune vachazopedza kudzidza musi wa1 Gumiguru 1998 kana kuti mushure, ndima (4)(a) inoda kupedzwa kwechirongwa chedhigirii re masters kuti vakwanise kupihwa chitupa chekutanga semukoti ane hunyanzvi.

Dare reNursing rinotsanangura basa/mabasa eAPRN:

  • Nyora, govera, shandisa, kana kuodha chero mushonga; zvisinei, mukoti wepamusoro akanyoreswa anotenderwa chete kuraira kana kugovera zvinhu zvinodzorwa sekutsanangurwa kwazvinoitwa mus.893.03 kana vakapedza masters kana chirongwa chechiremba chinopa dzidziso yehunyanzvi hwehunyanzvi uye zvinotungamira kune masters kana dhigirii rechiremba muhukoti hwekiriniki. .
  • Tanga kurapa kwakakodzera kune mamwe mamiriro.
  • Vakaita mamwe mabasa sezvingatarwa nemutemo pasi pes.464.003.
  • Raira bvunzo dzekuongororwa uye kurapwa kwemuviri uye nebasa.
  • Raira chero mushonga kuti ushandiswe kune murwere munzvimbo.

Kupfuura mabasa akajairwa ataurwa muchikamu (3), APRN inokwanisa kuita mabasa anotevera mukati menzvimbo yavo yehunyanzvi:

  • Mukati mezvivharo zveprotocol yakasimbiswa, mukoti akanyoreswa anogona kuita chero kana ese anotevera zviito:
  • Ronga matambudziko ekurapa akasarudzwa.
  • Raira kurapwa kwemuviri uye kwebasa.
  • Tanga, tarisa, kana shandura marapirwo ezvimwe zvirwere zvakanyanya.
  • Kuongorora nekugadzirisa varwere vane zvirwere zvisingaperi.
  • Yakagadzirisa matambudziko ekuzvibata uye kuongororwa uye kuita kurudziro yekurapa.

Iyo Stature inoenderera mberi nekutsanangura mabasa eanesthetist uye vanamukoti vananyamukuta. Tarisa kune Statue kune rumwe ruzivo.

 

Kuwana & Kuchengeta Rezinesi reNursing

Rezinesi rinogona kuwanikwa kuburikidza nekuyedzwa, kutsigirwa, kana Mukoti Kugadziriswa kweLicensure Compact. Paunenge uchinyorera uye nemari isingadzoserwe yekubhadhara yakatemwa neBhodi, dhipatimendi rinopa rezinesi rinodiwa nerutsigiro rwekuita mukoti wehunyanzvi kana anoshanda kune anenge achinyorera anogona kupa humbowo kuBhodi kuti ivo:

  • Ane rezinesi rinoshanda rekudzidzira mukoti kana hunyanzvi mune imwe nyika kana dunhu muUnited States, chero izvo zvinodiwa zvekupihwa rezenisi mudunhu iri zvingave zvakaomarara kana kuti zvakaenzana neavo vari kuFlorida apo munyoreri akawana rezinesi ravo rekutanga.
  • Anozadzisa zvinodiwa zvakataurwa mus.464.008 zvekupa rezenisi uye akapasa bvunzo dzedunhu, dzedunhu, kana dzenyika dzinenge dzakaoma sedziya dzinoitwa nebazi.
  • Akapedza makore maviri pamakore matatu apfuura achidzidzira mukoti mune imwe nyika, dunhu, kana masimba mukati meUnited States asina kana danho ratorwa achipokana nerezinesi ravo neboka ripi zvaro rinopa marezenisi. Pasi peiyi ndima, vanonyorera vanowana mvumo vanofanirwa kupedzisa bhodhi-yakatenderwa Florida mitemo uye mitemo kosi mukati memwedzi mitanhatu yekugamuchira rezinesi ravo. Mushure mekuongorora zvakawanikwa mucheki yenyika, munyoreri anopihwa rezenisi rakakodzera nerutsigiro nekukurumidza kana bazi raona kuti munyoreri haana nhoroondo yekupara mhosva.

Zvinozofungidzirwa kuti chero bvunzo uye zvinodiwa kubva kune dzimwe nyika dzeUS uye matunhu zvakada kufanana kana zvakanyanya kudiwa kupfuura izvo zvinobva mudunhu rino. Kufungidzira uku kuchaitika musi waNdira 1, 1980. Bhodhi rinogona, zvisinei, kugadza mitemo inotsanangura dzimwe nyika nenharaunda, zvikwaniriso uye bvunzo dzayo dzisingazonzi dzakanyanya kufanana neidzo dzenyika ino.

 

Kana munhu achinge aendesa chikumbiro chakakodzera uye mubhadharo, pamwe nekubudirira kupedzisa kwecheki yekupara mhosva inodikanwa pasi pechikamu (4), munyoreri wekupihwa rezenisi nemvumo ari kutamira kune ino nyika nekuda kwemirairo yemauto mukwanyina wavo ane mubatanidzwa wemauto uye ari nhengo yeChibvumirano cheRezinesi chaNurse mune imwe nyika achave nezvinodiwa zvese zvinogutsa.

 

Munyoreri anofanira kuendesa seti yezvigunwe kudhipatimendi pafomu uye nemitemo yedhipatimendi. Munyoreri anofanirawo kubhadhara dhipatimendi mari yakaenzana nemari yakabhadharwa neDhipatimendi reHutano pacheki yemhosva yemumhan'ari. Kuongororwa kwenhoroondo yenyika yese, Dhipatimendi rehutano rinotumira zvigunwe zvemunyoreri kuFlorida Dhipatimendi reMutemo Enforcement, uye Florida Dhipatimendi reMutemo Enforcement rinotumira zvigunwe kuFBI kuti iongorore nhoroondo yenyika yese. Kana munhu anenge anyorera achinge azadzisa zvimwe zvese zvinodiwa kuti apihwe rezenisi uye asina rekodhi remhosva, Dhipatimendi rehutano rinoongorora zvakabuda pacheki yenhoroondo yehutsotsi, roburitsa rezinesi, uye roendesa vamwe vese vanyoreri vane nhoroondo yekupara mhosva kudzokera kuBhodi kuti riite sarudzo. pamusoro pekupa kana kusapa mvumo uye mumamiriro ezvinhu api.

 

Kusvikira kuferefeta kwapera, panguva iyo zvinodiwa zve s.464.018 zvichatanga kushanda, bazi harizope rezinesi retsigiro kune chero munhu anenge akumbira ari kuferefetwa kune imwe nyika, masimba, kana dunhu reUnited States pachiitiko icho. inotyora chikamu ichi kana chitsauko 456. Mushure mekupedza zvese zvinodikanwa kuunganidza uye kusimbiswa kwedata, bazi rinozoburitsa rezinesi mukati memazuva makumi matatu. Iyo zvakare ichagadzira yemagetsi munyoreri yekuzivisa maitiro uye inopa zviziviso zvemagetsi pakugamuchira chikumbiro uye nekupedzwa kwekumashure cheki. Ngatitii munyoreri anofanirwa kumira pamberi peBhodi nekuda kweruzivo rwechikumbiro chavo kana nekuda kwekuongorora, kuunganidza data, uye maitiro ekuona. Kana zvakadaro, mazuva makumi matatu ekupihwa rezinesi nguva ichawedzerwa. Izvo zvinodiwa zvekupihwa rezenisi nekusimbisa muchikamu chino hazvishande kune munhu ane inoshanda multistate rezinesi mune imwe nyika pasi pes. 30.

 

Licensure By Examination

Chero ani zvake anoda kunyora bvunzo dzekupihwa rezenisi kuti ave mukoti akanyoreswa anofanira kunyorera kubazi. Dhipatimendi richaongorora mumwe nemumwe anenge asarudzwa:

  • Munyoreri azadzisa zvinodiwa nekuzadza fomu rekunyorera uye kubhadhara iyo $150 muripo wakatarwa neBhodi. Pamusoro pezvo, vakabhadhara mari yebvunzo dzemadhora makumi manomwe neshanu dzakatarwa neBhodi uye mutengo chaiwo pamunhu anenge anyorera kubazi rekutenga bvunzo kubva kuNCSBN (National Council of State Boards of Nursing) kana sangano renyika rakafanana.
  • Ane ruzivo rwakakwana kubva munaGumiguru 1, 1989, kana kuti gare gare, iyo iyo dhipatimendi inoda kupa kuti iite cheki yetsamba yekunyora matsotsi neDhipatimendi Rezvemitemo.
  • Ane diploma rechikoro chepamusoro kana chakaenzana naro, ane hutano hwakanaka hwepfungwa nemuviri, uye akazadzisa zvinotarisirwa kuti:
  • Kupedza kudzidza kubva purogiramu yakabvumirwa
  • Kupedza kudzidza kubva ku pre-rezenisi chirongwa chedzidzo yehukoti chakaenzana nechirongwa chakatenderwa chakatemwa neBhodi.
  • Akapedza kudzidza musi waChikunguru 1, 2009 kana kuti mushure, kubva kuchirongwa chakabvumidzwa
  • Kupedza kudzidza musi waChikunguru 1, 2009, kubva kuchirongwa chedzidzo yehukoti chisati chapihwa rezinesi avo vakapedza kudzidza vanokodzera bvunzo.

Kupedza makosi muchirongwa chedzidzo yehukoti kunogona kugutsa maitiro edzidzo ekupihwa rezenisi semukoti ane rezinesi anoshanda. Ane kugona kutaura muChirungu, sekuongororwa nedhipatimendi bvunzo. Kunze kwekunge yarambwa ne s.464.018, chero munyoreri akapasa bvunzo uye apedza zvinodiwa padzidzo zvakanyorwa muchikamu (1) anokodzera kuve mukoti ane rezinesi kana mukoti akanyoreswa, sezvingave zvakadaro.

 

Zvisinei nekutonga kunoitiswa bvunzo, chero munyoreri akatadza bvunzo katatu akatevedzana anozoda kupedzisa kosi yekugadziridza yakatenderwa neBhodi kuti akodzere kuongororwazve. Mumiriri anogona kubvumidzwa kuyedza bvunzo kusvika katatu mushure mekupedza kosi yekugadzirisa asati amanikidzwa kugadzirisa. Mushure mekugadzirisa, munyoreri ane mwedzi mitanhatu yekukumbira kuti aongororwezve. Nemutemo, Bhodhi ichaisa zvinodiwa padzidzo yekugadziridza.

 

Munyoreri anopedza chirongwa chakatenderwa anofanira kunyoreswa uye kupedzisa bhodhi-yakatenderwa rezenisi bvunzo yekugadzirira kosi kana vakasarudza kusatora rezinesi bvunzo mukati memwedzi mitanhatu yekupedza kudzidza. Munyoreri haakwanise kushandisa federal kana nyika rubatsiro rwemari kuvhara chero mari ine chekuita nekosi; ivo vane basa rokuafukidza. Dare richaisa mitemo yekugadzirira makosi ebvunzo dzekupihwa rezenisi. Chikamu 464.0095 chinobvisa munhu kubva kune zvinodiwa rezinesi kana parizvino vaine rezinesi rinoshanda renyika dzakawanda mune imwe nyika (2).

 

Rezinesi Pakuitwa kweMukoti Rezenisi Compact

Florida yakapasisa Nurse Licensure Compact kuita mutemo. Izvi zvinobvumira vanamukoti kuti vatore chikamu mumakumi maviri nenhanhatu ekupa marezenisi makompakiti. Kudanwa kwekubvisa zvinoremedza uye zvisina basa rezenisi rezenisi uye kufambisira mberi kuchengetedzwa kweveruzhinji uye hutano hwakanaka hwakakonzera kudzikwa kwemutemo uyu. Chirevo chepamutemo ndeichi:

  • "Chibvumirano ichi chinotanga kushanda uye chinosunga zviri pamutemo musi waZvita 31, 2018, chero chinouya nekukurumidza, kana pazuva rachichaiswa mutemo nedzinosvika makumi maviri nematanhatu. Mukati memwedzi mitanhatu zvichitevera kuitwa kwekondirakiti iyi, chero nyika dzenhengo dzaivewo mapato kune yapfuura Nurse Licensure Compact ("pre compact") iyo kombuta iyi yakatsiviwa inoonekwa seyakabuda mukombuta yapfuura."

Kusvikira nyika yebato yabviswa pachibvumirano chekare, bato rega rega kune rino richaremekedza kodzero yemukoti yerezenisi yenyika dzakawanda yekudzidzira mubato iri rakapihwa pasi pekondirakiti yapfuura. Chero nyika yebato inogona kubuda muchibvumirano ichi nekudzika mutemo wekudzima. Kusimuka kwebato kunotanga mwedzi mitanhatu mushure mekunge mutemo wekubvisa wapasiswa. Chero hurongwa hwekushandira pamwe, kusanganisira zvibvumirano zverezinesi remukoti, pakati penyika yebato uye isiri bato inotevedzera mamwe mamiriro ekompakiti iyi inoramba ichishanda uye isingakanganisike nekombuta iyi. Nyika dzebato dzinogona kuchinja kondirakiti iyi. Chete kana ichinge yaiswa mumitemo yebato rega rega, taura kuti gadziriso yekombuta iyi inosungirira pamatunhu ebato uye inoshanda. Nyika dzese dzemapato dzisati dzatambira chibvumirano ichi, vamiriri vedzimwe nyika dzisiri mapato muchibvumirano vachakokwa kuita mabasa ekomisheni vasingakwanise kuvhota.

 


Kuzarura Hutano: Chiropractic Uchenjeri & Sayenzi yeKushanda Kuporesa-Vhidhiyo


Kuenderera mberi Nedzidzo Yehukoti

Marezenisi anofanirwa kuvandudzwa ega ega biennium kana makore maviri ega ega. Awa imwe yekuonana inofanirwa kupedzwa pamwedzi wega wega wekarenda werezinesi kutenderera mugore rakapihwa. Maawa anotaurwa muchikamu (1) panguva dzakatarwa anofanira kusanganisira anotevera anoenderera mberi makosi edzidzo sechinhu chinodiwa:

  • Kosi yemaawa maviri mukudzivirira zvikanganiso zvekurapa inofanirwa kupedzwa yega yega biennium.
  • Kosi yeawa imwe chete muHIV/AIDS mukutanga biennium chete
  • Kosi yemaawa maviri muFlorida mitemo nemitemo mune yega yega biennium
  • Kushanda Nyamavhuvhu 1, 2017, kosi yeawa-2 mukuziva kukanganisa mumakiriniki maitiro uye mamwe ese biennium mushure meizvozvo.
  • Musi waNdira 1, 2019 kana kuti mushure, kosi yemaawa maviri pamusoro pekubiwa kwevanhu uye biennium yega yega mushure meizvozvo.
  • Kosi yemaawa maviri mumhirizhonga yemudzimba inodikanwa yega yega yechitatu biennium.

Mukuwedzera, the Florida Board of Nursing zvinoda maawa akajairwa ekuenderera mberi nedzidzo kuzadzisa chinodiwa cheawa imwe yekuonana pamwedzi wega wega wekarenda yerezinesi kutenderera. Izvi zvinodikanwa zveawa zvinogadziridzwa pawebhusaiti yavo. Pamusoro pemakosi ataurwa pamusoro, parizvino vari kuda maawa gumi nematanhatu ekuenderera mberi nedzidzo muhukoti.

 

Mukoti Rezinesi Ane Marezenisi maviri & CE Zvinodiwa

Munhu ane rezinesi ane RN uye rezinesi reLPN anogona kuzadzisa zvinodiwa neEC nekupedza inodiwa RN-chaiyo inoenderera mberi dzidzo. Shanyira Bhodhi reNursing webhusaiti kuti uwane rumwe ruzivo nezve mitemo, sezvambotaurwa, uye zvinosiya.

 

Mitemo Yekuenderera Nedzidzo

Zvinangwa zvemudzidzi: Zvinangwa zvinofanirwa kudonongodza zvinotarisirwa maitiro evadzidzi uye zvigone kuyerwa, zvinogoneka, uye zvinoenderana nemamiriro ekudzidzira ukoti nhasi. Zvinangwa zvinozoraira kosi, modhi yekuraira, uye nzira yekuongorora.

 

Nyaya Yenyaya: Zvirimo zvinofanirwa kugadzirwa zvakanangana nekugutsa zvinodiwa nevatori vechikamu pakudzidza, nhanho, uye zvinangwa. Ruzivo rwunozorongwa zvine mutsindo uye rwuchibatanidza zano kubva kunyanzvi dzezvidzidzo. Chidzidzo chakakodzera chekuenderera mberi nekupa dzidzo chinofanira kusanganisira ruzivo kubva kune imwe kana kupfuura yeinotevera. Inofanirwa kumiririra zvinodiwa nemudzidzi padzidzo yehunyanzvi kugadzirisa zvinodiwa zvehutano hwemutengi:

  • Nzvimbo dzevakoti uye matambudziko akakosha ehutano.
  • Biological, physical, behaviour, uye social sciences.
  • Zviri pamutemo zvehutano
  • Kutungamira / kutonga kwevashandi vehutano uye kutarisirwa kwevarwere
  • Kudzidzisa / kudzidza maitiro evashandi vehutano uye varwere

Kuongorora: Zvinofanira kuratidzwa nenzira inogutsa Bhodhi kuti vatori vechikamu vanopihwa mukana wekuongorora mikana yedzidzo, nzira dzekuendesa, zvivakwa, uye zviwanikwa zvinoshandiswa mukupa. Pakupera kwechidzidzo chekudzidza, zviitwa zvekuzvitungamira-zvakadai sezvirongwa zvekombuta, makosi ewebhu, tsvakiridzo yeinternet, uye kudzidza kumba-zvinofanira kushandiswa kuongorora ruzivo rwemudzidzi. Panofanirwa kuve nemibvunzo gumi kana kupfuura muongororo. Kuti mudzidzi ave akakodzera kumaawa ekusangana, anofanira kuwana chibodzwa chekuongorora che70%. Mupi anodiwa kuti anyore chiyero chekuongorora.

 


References

Cassiani, SHB, & Silva, F. (2019). Kuwedzera basa revanamukoti mukutarisira hutano hwekutanga: nyaya yeBrazil. Rev Lat Am Enfermagem, 27, e3245. doi.org/10.1590/1518-8345.0000.3245

Rezinesi / Chitupa - Florida Nurses Association. (2022). www.floridanurse.org. www.floridanurse.org/page/Licensure

Zviwanikwa - Florida Nurses Association. (2022). www.floridanurse.org. www.floridanurse.org/resources/documents/HistoryofFloridaNursesAssociation.doc

Kusarudza Chirongwa Chevakoti - Florida Nurses Association. (2022). www.floridanurse.org. www.floridanurse.org/page/SelectingaNursingProgram

Torres-Vigil, I., Cohen, MZ, Mamirioni, RM, & Bruera, E. (2021). Basa reEmpathic Nursing kupindira kwefoni nevarwere vekenza yepamusoro: Chidzidzo chehunhu. Eur J Oncol Nurs, 50, 101863. doi.org/10.1016/j.ejon.2020.101863

Ventura, CAA, Fumincelli, L., Miwa, MJ, Souza, MC, Wright, M., & Mendes, IAC (2020). Kukurudzira hutano uye hutano hwekutanga hutano: humbowo hwehukoti. Rev Bras Enferm, 73(3), e20180987. doi.org/10.1590/0034-7167-2018-0987

 

Disclaimer

Kuongorora Kubatana Pakati Pekuzvidya Mwoyo uye Nervous Dumbu

Kuongorora Kubatana Pakati Pekuzvidya Mwoyo uye Nervous Dumbu

Mamiriro ezvinhu akadai sekushushikana uye kuora mwoyo kana kusagadzikana kwekudya kunogona kukonzera vanhu kunzwa dumbu rekuvhunduka. Kuziva zviratidzo zvakajairika, chii chinozvikonzeresa, uye nguva yekuona mupi wehutano kubatsira kubata chirwere?

Kuongorora Kubatana Pakati Pekuzvidya Mwoyo uye Nervous Dumbu

Nervous Dumbu

Dumbu rekutya kazhinji harisi chinhu chekufunganya nezvacho, asi zvinogona kuitika pano neapo semhinduro kune imwe nzvimbo, mapoka evanhu, chikafu, kushushikana, uye kufunganya. Zviratidzo zvinosanganisira kusadya zvakanaka, dumbu riri kubhabhadzira/ butterflies, kana kunzwa ura. (Kuzvidya Mwoyo uye Kuora Mwoyo Association of America. 2023) Zvikonzero zvinosanganisira mamiriro ehutano hwepfungwa uye hwemuviri, mimwe mishonga, uye mararamiro. Vanhu vane zviratidzo zvisingaperi kana zvinoramba zvichiitika vanofanira kutaura nemupi wehutano nezvehuwandu hwavo hwezviratidzo. Kurapa kunosanganisira mishonga, kurapwa, uye kuchinja mararamiro.

zviratidzo

Zviratidzo zvetsinga yemudumbu zvinogona kusiyana. Kushungurudzika uye kuzvidya mwoyo zvinogona kutungamirira kune zviratidzo zvemuviri, uye zviratidzo zvemuviri zvinogona kukonzera kushushikana uye kufunganya. Izvi zvinodaro nekuti uropi uye gut kubatana kunotaurirana kuti ndeapi mahomoni uye neurotransmitters achaburitswa uye rinhi. Zviratidzo zvakajairika zvinosanganisira: (Kuzvidya Mwoyo uye Kuora Mwoyo Association of America. 2023)

  • Kufirwa kwechido
  • Butterflies kana kunzwa kubvongodza mudumbu
  • Kushungurudza mudumbu
  • fufune
  • Bloating
  • Flatulence
  • Kunzwa kurwadza ura
  • Cramping
  • Nausea, yakaoma heaving
  • Kuwedzera kuda kuita weti kana kuita ura
  • Constipation
  • Diarrhea
  • Out-of-sync nzara cues

Zvinokonzera

Muzviitiko zvakawanda, dumbu rinotyisa richauya uye richienda. Nekudaro, zvinogona zvakare kukonzerwa nekusagadzikana kwakadai sekufunganya kusagadzikana, kushushikana, kana gastrointestinal uye digestive kusagadzikana. Hutano hwehuropi hunobatsira kuhutano hwematumbo, uye zvinopesana. Uropi hunogara huchitaurirana nehurongwa hwekugaya, uye chirongwa chekudya chinogara chichitumira ruzivo kuuropi. (Foster, JA, uye McVey Neufeld, KA 2013) (Yunivhesiti yeChicago Medical Center, 2024) Zvinowanzokonzeresa dumbu retsinga zvinosanganisira: (Kuzvidya Mwoyo uye Kuora Mwoyo Association of America. 2023)

Mishonga

Over-the-counter uye mishonga yemishonga inogona kukonzera dumbu rinotyisa semigumisiro. Izvi zvinogona kuitika kana uchitora mushonga mumwe chete kana kupfuura imwe panguva imwe chete. Inogonawo kuitika kune avo vane manzwiro ezvokudya kana mamwe mamiriro ehutano. (Johns Hopkins Mushonga, 2024) Ichi ndicho chikonzero kubvunzurudza nekuvandudza mupi wehutano pane rondedzero yezvino yemishonga yakatemerwa uye ye-over-the-counter yakakosha. Mimwe mishonga inogona kutsamwisa dumbu, nepo mamwe anogona kukonzera kuvimbiswa kana manyoka, zvichitungamira mukusagadzikana uye nekutya zviratidzo zvemudumbu. Mishonga yakajairika inogona kukonzera mudumbu side effect zviratidzo zvinosanganisira: (Johns Hopkins Mushonga, 2024)

  • NSAIDs - non-steroidal anti-inflammatory drugs senge ibuprofen inogona kuderedza dumbu remukati.
  • Iron, antacids, uye mishonga yemarwadzo inogona kukonzera kuvimbiswa.
  • Mishonga inorwisa mabhakitiriya inogona kukonzera manyoka.

Kurapa Kumba

Kurapa kunoenderana nekuomarara uye chikonzero/s. Dumbu risingawanzo tsinga rinogona kubatsirwa ne-over-the-counter therapies kuti ridzikame uye / kana mararamiro ekuchinja kuderedza kushushikana. Mazano ekudzikisa kushushikana uye kusagadzikana anosanganisira (Kuzvidya Mwoyo uye Kuora Mwoyo Association of America. 2023)

  • Kunyanya kuzorora kupfupi mukati mezuva
  • Kudzidzira kufema zvishoma nezvishoma
  • Kuteerera kune kutungamirirwa kufungisisa kwekunetseka-kuzorodza
  • Kuwedzera kurovedza muviri kumaitiro ezuva nezuva
  • Kuziva kuti matambudziko emudumbu chikamu chekuzvidya mwoyo uye kunetseka nezvezviratidzo zvinogona kuita kuti zviwedzere.

Kurapa Kwekurapa

Vanhu vanogona kubatsirwa kubva kune dzimwe nzira dzekutsigira kurapwa nemupi wehutano (Johns Hopkins Mushonga, 2024)

  • Antidepressant kurapwa kwekutya mudumbu uye / kana kushatirwa bowel syndrome.
  • Cognitive behaviour therapy yekuzorodza kushushikana uye kudzidza kubata kushushikana.
  • Medical hypnotherapy
  • Kana zviratidzo zvichikonzerwa nemishonga kana zvimwe zvekudya, mupi wehutano anogona kugadzira chirongwa chekurapa chinoshanda chinosanganisira kushandisa mumwe mushonga uri nyore padumbu kana kuona chiremba wezvekudya.

Matambudziko

Ikasiiwa isina kurapwa, dumbu retsinga rinogona kukonzera zvimwe zviratidzo uye mamwe matambudziko ehutano. Imwe ongororo yakatarisa hukama huripo pakati pekutsamwisa bowel syndrome uye zvimwe zvirwere zvepfungwa. (Fadgyas-Stanculete, M. et al., 2014) Izvi hazvirevi kuti chirwere chepfungwa chinokonzera dumbu rinotyisa kana kuti dumbu rinotyisa rinokonzera chirwere chepfungwa. Zvinowanzoitika kuti musanganiswa wemakemikari anoburitswa kana akadzvinyirirwa anogona kukuvadza hutano hwematumbo. Izvi zvinogadzira kusaenzana kunozivikanwa kuve njodzi zvinhu zvekusagadzikana kwekudya uye mamiriro. (Kuzvidya Mwoyo uye Kuora Mwoyo Association of America. 2023)

Kuona Mupi Wehutano

Zvizhinji zvekuvhunduka zviratidzo zvedumbu zvinogadzirisa pachavo. Nekudaro, zvimwe zviratidzo nezviratidzo zvinogona kuratidza kuti inguva yekuona mutapi wehutano. Kurukurai zviratidzo nemupi wehutano anozoraira bvunzo dzemu lab kuti atarise zvikonzero zvakaita seanemia. Ona mutarisiri wehutano nekukurumidza kana ukaona zvinotevera (Yunivhesiti yeChicago Medical Center, 2024)

  • Zviratidzo zviri kuita kuti basa uye/kana hupenyu hwemazuva ose hunetse.
  • Zvisingaperi kana kusagadziriswa nyaya dzemudumbu senge chirungurira.
  • Kuderedza uremu kusingatsananguriki - kurasikirwa uremu pasina kurovedza muviri kana kuchinja kwekudya.
  • Ropa riri muchituru kana kuti dema, mumarara.
  • Kudzora

Kana paine nhoroondo yekurapa yekusagadzikana kwekudya kana kenza senge gomarara remudumbu kana gomarara rekoloni, izvi zvinobatsira mupi wehutano. Zvichienderana nezviratidzo zvakazara uye nhoroondo yezvehutano yemhuri, vanhu vanogona kuendeswa kune gastroenterologist uye / kana mupi wehutano hwepfungwa, sechipangamazano kana chiremba wepfungwa. PaInjury Medical Chiropractic uye Functional Medicine Clinic, tinobata kukuvara uye kusingaperi kurwadziwa syndromes nekugadzira zvirongwa zvekurapa zvemunhu uye. specialized Clinical services yakanangana nekukuvadzwa uye kupora kwakazara. Isu tinoshanda nevarapi vehutano hwekutanga uye nyanzvi kukudziridza hutano hwakakwana uye hutano mhinduro kuburikidza neyakasanganiswa nzira yekurapa kukuvara uye kusingaperi kurwadziwa syndromes, kuvandudza kuchinjika, kufamba, uye agility zvirongwa zvekubvisa marwadzo uye kubatsira vanhu kudzokera kuhutano hwakakwana. Kana mamwe marapirwo achidiwa, Dr. Jimenez akabatana nevarapi vepamusoro, nyanzvi dzemakiriniki, vatsvakurudzi vezvokurapa, uye vagadziri vekugadzirisa kuti vape mishonga inobatsira zvikuru.


Zvikonzero Zvinokonzera Kusashanda KweGut Chikamu 3


References

Kuzvidya Mwoyo uye Kuora Mwoyo Association of America. (2023). Maitiro ekudzikamisa dumbu rekunetsekana: Iyo brain-gut yekubatanidza. Kuzvidya Mwoyo uye Kuora Mwoyo Association of America.
Kukunda Kuburikidza NeSainzi, Kurapwa, uye Dzidzo. adaa.org/learn-from-us/from-the-experts/blog-posts/consumer/how-calm-anxious-stomach-brain-gut-connection

Foster, JA, & McVey Neufeld, KA (2013). Gut-brain axis: maitiro eiyo microbiome anopesvedzera kusagadzikana uye kushushikana. Maitiro mune neuroscience, 36 (5), 305-312. doi.org/10.1016/j.tins.2013.01.005

Yunivhesiti yeChicago Medical Center. (2024). Kushungurudzika uye kurwadziwa kwemudumbu: Ndepapi paunofanira kuona nyanzvi? Kumberi. www.uchicagomedicine.org/forefront/gastrointestinal-articles/2024/january/stress-stomach-pain-when-to-see-a-doctor

Fadgyas-Stanculete, M., Buga, AM, Popa-Wagner, A., & Dumitrascu, DL (2014). Ukama huri pakati pekutsamwiswa bowel syndrome uye kusagadzikana kwepfungwa: kubva kukuchinja kwema molecular kuenda kukiriniki kuratidzwa. Chinyorwa chemolecular psychiatry, 2(1), 4. doi.org/10.1186/2049-9256-2-4

Ness-Jensen, E., & Lagergren, J. (2017). Kusvuta fodya, kunwa doro uye gastro-oesophageal reflux chirwere. Best practice & research. Clinical gastroenterology, 31 (5), 501-508. doi.org/10.1016/j.bpg.2017.09.004

Johns Hopkins Mushonga. (2024). Mishonga uye digestive system. Utano. www.hopkinsmedicine.org/health/conditions-and-diseases/medicines-and-the-digestive-system

Kugadzirisa Rheumatoid Arthritis neKurovedza Kwakasiyana-siyana: Wana Rubatsiro uye Famba zviri nyore.

Kugadzirisa Rheumatoid Arthritis neKurovedza Kwakasiyana-siyana: Wana Rubatsiro uye Famba zviri nyore.

Vanhu vane rheumatoid arthritis vanogona here kubatanidza maekisesaizi akasiyana siyana kuderedza marwadzo emajoini uye kuzvimba mumaoko netsoka?

ziviso

Majoini ari mubatsiro remunhu anopa basa, kufamba, uye kushanduka kumucheto wepamusoro nepamusoro. Majoini acho chikamu chemusculoskeletal system uye ane hukama hwakatanhamara nemhasuru, marunda, uye matishu akapfava anopa chimiro chemuviri uye tsigiro inoita kuti munhu afambe-famba uye kudzivirira nhengo dzakakosha kuti dzishande zvakajairika. Nekudaro, kana munhu ari kubata nekukuvara kana hurwere hunokanganisa basa remuviri musculoskeletal, zvinogona kukonzera marwadzo kune munhu. Chimwe chezviratidzo zvinowanzobatana mumajoini ndechekuzvimba kusingaperi, zvichiita kuti pave nechirwere che autoimmune chinonzi rheumatoid arthritis. Chinyorwa chanhasi chinotarisa kuti rheumatoid arthritis inobata sei majoini musculoskeletal system uye maekisesaizi akasiyana siyana anogona kubatsira kubata nekudzikisa zviratidzo zvine chekuita nerheumatoid arthritis. Isu tinokurukurirana nevamiriri vekurapa vane hukama vanobatanidza ruzivo rwevarwere vedu kuti vaongorore rheumatoid arthritis uye zviratidzo zvayo zvinorwadza zvinobata majoini. Isu tinozivisawo uye kutungamira varwere vachibvunza avo vanobatana navo vekurapa mibvunzo yakaoma kuti vabatanidze maekisesaizi akasiyana muchirongwa chavo chemunhu chekurapa kubata marwadzo ane chekuita nerheumatoid arthritis. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer.

 

Mabatiro Anoita RA Majoini

Iwe unonzwa kurwadziwa uye kunyorova mumajoini ako zvichikanganisa maitiro ako ezuva nezuva? Iwe unonzwa kuoma chinhu chekutanga mangwanani, uye inoenda zuva rese? Kana kuti unonzwa wakaneta mukati mezuva rose, kunyange pashure pokurara zvakanaka usiku? Vanhu vazhinji vane zviratidzo izvi vanogona kunge vachibata nekutanga kukura kwerheumatoid arthritis mumajoini avo. Ikozvino, rheumatoid arthritis chirwere chisingaperi chinozvimba autoimmune chinokanganisa majoini emuviri asi chakanyanya kuoneka pamaoko, mawoko, netsoka. Zviratidzo zverheumatoid arthritis zvinogona kukura nekukurumidza kana zvishoma nezvishoma zvichienderana nemamiriro ekunze anobatsira mukukura. Sezvo rheumatoid arthritis yakarongerwa se systemic autoimmune chirwere, genetic uye yezvakatipoteredza njodzi zvinhu zvinogona kukonzera rheumatoid arthritis kukura zvinogona kukonzeresa kuwanda kwengozi profiles pamajoini. (Jang et al., 2022) Kana munhu ari kutarisana nezviratidzo zve rheumatoid arthritis, chimwe chezviratidzo zvinorwadza zvinogona kukanganisa majoini zvakanyanya kuzvimba. Kuzvimba kunobatanidza ne rheumatoid arthritis; inoratidzwa nekurwadziwa kwekubatana, zvichiita kuti pave nekuzvimba uye kuparadzwa kunotevera kwekatekete uye bone. (Scherer et al., 2020) Izvi zvinoita kuti vanhu vakawanda vagare vachirwadziwa uye zvinovatadzisa kuita chero mabasa.

 

 

Uyezve, kana majoini mashoma ari kukanganiswa ne rheumatoid arthritis mumatanho ekutanga, zvimwe zvezviratidzo zvinosanganisira:

  • Kuneta
  • Zviratidzo zvakaita sefuru
  • Majoini akazvimba & akapfava
  • Kushushikana

Nekudaro, kana rheumatoid arthritis ichisvika pamatanho ekupedzisira mumajoini, iwo autoantigens akananga kune rheumatoid arthritis anogona kutungamira kune inozvimiririra isingaperi yekuzvimba mamiriro pamajoini, nekudaro zvichikonzera kuwedzera pane periarticular bone pane cartilage-bone junction, zvinotungamirira kukukukurwa kwemapfupa uye kuparara kwecartilage. (Lin et al., 2020) Sezvineiwo, kune nzira dzekurapa dzekudzikisa marwadzo uye kuzvimba mhedzisiro yerheumatoid arthritis uye kubatsira kubata zviratidzo zviri kukanganisa majoini.

 


Arthritis Inotsanangurwa- Vhidhiyo


Maekisesaizi Akasiyana-siyana Anogona Kubatsira NeRA

Kana zvasvika pakudzikisa kuzvimba mhedzisiro ye rheumatoid arthritis, vanhu vazhinji vanogona kutsvaga nzira dzekurapa dzekudzorera kufamba, kushanda, uye kushanduka. Vanhu vazhinji vanogona kubatanidza zviitiko zvakasiyana-siyana zvemuviri kudzoreredza kushushikana pamatishu akaputika uku vachinonotsa kufambira mberi kwerheumatoid arthritis. (Radu & bungau, 2021) Kana vanhu vane rheumatoid arthritis vakabatanidza zvinhu zvakasiyana-siyana zvemuviri, zvinogona kusanganisira kudya kune utano uye kudya kunovaka muviri kuti vadzivise pro-inflammatory effects dzine chokuita nerheumatoid arthritis, kubatsira kupa zviratidzo zvekuvandudza, uye kudzorera kushanda kwemuviri kumajoini. (Gioia et al., 2020)

 

Kana vanhu vane rheumatoid arthritis vanotanga kurovedza muviri sechikamu chekurapa kwavo kwemunhu, inogona kuva nemidziyo inobatsira sezvo vachigona kubatsira neinotevera:

  • Deredza marwadzo emajoini & kuoma
  • Kuvandudza simba remhasuru kumativi emajoini
  • Wedzera kushanda kwemuviri
  • Simbisa hutano hwepfungwa
  • Inoderedza kupisa
  • Wedzera simba remagetsi

Chinonyanya kukosha chekubatanidza maekisesaizi ekuderedza rheumatoid arthritis kusarudza zvinyoro-nyoro zviitwa pamajoini emunhu uku uchipa kufamba kwakakwana kuti muviri ugone kuchinjika uye wakasimba. Pazasi pane mamwe maekisesaizi ekuderedza rheumatoid arthritis.

 

Range of Motion Exercises

Range yekufamba maekisesaizi inogona kubatsira kuchengetedza yakajairika majoini basa ne kuvandudza kuchinjika uye kuderedza kuomarara kune vanhu vane rheumatoid arthritis. Mimwe mienzaniso inosanganisira:

  • Kubhenda Kweminwe: Zvinyoronyoro kotamisa zvigunwe zvako muchibhakera wozvitwasanudza. Dzokorora kakawanda.
  • Wrist Stretch: Tambanudza ruoko rwako chanza chakatarisa pasi. Zvinyoro shandisa rumwe ruoko rwako kudzvanya ruoko rwakatambanudzwa pasi uye kumashure kwekutambanudza.
  • Shoulder Rolls: Rongedza mapendekete mukufamba kwedenderedzwa kumberi, wozodzoreredza gwara.

 

Simba Rokudzidzisa Maekisesaizi

Kudzidziswa kwesimba kunogona kubatsira kuvaka mhasuru dzakatenderedza dzakapoteredza majoini. Izvi zvinobvumira vanhu vazhinji vane rheumatoid arthritis kupa rubatsiro rwakanaka uye kuderedza kushushikana pamajoini. Mimwe mienzaniso inosanganisira:

  • Resistance Bands: Shandisa mabhendi ekupikisa kuita bicep curls, kukwidziridzwa kwemakumbo, uye kudzvanya kwechipfuva.
  • Light Weights: Batanidza madumbbell akareruka kuita maekisesaizi senge mapendekete ekutsikirira, tricep extensions, uye squats.
  • Bodyweight Exercises: Batanidza mukusundira madziro, kusimudza gumbo rakagara, uye mapuranga akagadziridzwa.

 

Maekisesaizi Anobva Mvura

Maekisesaizi emvura anodzivirira pasina kukanganisa majoini, zvichiita kuti ive yakanaka kune avo vane rheumatoid arthritis. Mvura inobatsira kumisa majoini nekurerutsa kuomarara, kuvaka simba, uye kubatsira kuzorodza tsandanyama dzinorwadza. Mimwe mienzaniso yezviitwa-based exercises inosanganisira:

  • Mvura Aerobics: Joinha kirasi yemvura aerobics inopa maitiro akarongwa munzvimbo inotsigira.
  • Aqua Jogging: Shandisa bhandi rekumhanya kudzika mudziva.
  • Kutuhwina: Ita laps kana kuita maekisesaizi akapfava senge backstroke kana breaststroke.

 

Mazano EKuekisesaiza NeRA

Zvakakosha kuyeuka kuti paunenge uchirovedza muviri ne rheumatoid arthritis, zvakakosha kuti ugare uchitanga nekudziya-kunyoro uye nguva dzose kupera nekutonhorera pasi kugadzirira mhasuru nemajoini paunotanga kurovedza muviri. Chimwe chinhu chekurangarira ndechekugara wakafanana uye kugadzirisa kana zvichidikanwa. Izvi zvinobvumira vanhu vazhinji kuteerera kumiviri yavo uye kugadzirisa maekisesaizi kudzivirira kurwadziwa uye kusagadzikana. Kubatanidza maekisesaizi kunoshanda zvakanyanya mukudzikisa rheumatoid arthritis chiitiko sezvo ichigona kubatsira kusimudzira immune system yemuviri uye kubatsira kubata kuzvimba mhinduro ine chekuita nerheumatoid arthritis. (Li & Wang, 2022)

 


References

Gioia, C., Lucchino, B., Tarsitano, MG, Iannuccelli, C., & Di Franco, M. (2020). Zvokudya Zviitiko uye Zvokudya muRheumatoid Arthritis: Kudya Kunogona Kupesvedzera Kubudirira Kwechirwere uye Kuratidzwa Kwekiriniki? Nutrients, 12(5). doi.org/10.3390/nu12051456

Jang, S., Kwon, EJ, & Lee, JJ (2022). Rheumatoid Arthritis: Pathogenic Mabasa eMasero akasiyana-siyana ekudzivirira zvirwere. Int J Mol Sci, 23(2). doi.org/10.3390/ijms23020905

Li, Z., & Wang, XQ (2022). Clinical effect uye biological mechanism yekurovedza muviri kune rheumatoid arthritis: A mini wongororo. Pamberi Immunol, 13, 1089621. doi.org/10.3389/fimmu.2022.1089621

Lin, YJ, Anzaghe, M., & Schulke, S. (2020). Kuvandudza paPathomechanism, Kuongororwa, uye Kurapa Sarudzo dzeRheumatoid Arthritis. Masero, 9(4). doi.org/10.3390/cells9040880

Radu, AF, & Bungau, SG (2021). Kutungamirirwa kweRheumatoid Arthritis: An Overview. Masero, 10(11). doi.org/10.3390/cells10112857

Scherer, HU, Haupl, T., & Burmester, GR (2020). Etiology ye rheumatoid arthritis. J Autoimmun, 110, 102400. doi.org/10.1016/j.jaut.2019.102400

Disclaimer

Mvura Aerobics yeSimba uye Cardiovascular Health

Mvura Aerobics yeSimba uye Cardiovascular Health

Kune vanhu vanorarama nemarwadzo asingaperi uye zvirwere zvakasiyana-siyana seParkinson, arthritis, uye chirwere cheshuga, mvura aerobics inogona kubatsira here?

Mvura Aerobics yeSimba uye Cardiovascular Health

Mvura Aerobics

Water aerobics maekisesaizi asina simba-shoma anowanzoitwa mumadziva ekutuhwina. Inzira yakanaka yekurovedza muviri kuti ushande-muviri wakazara, kurovedza muviri kwakaderera pasina kushanda zvakanyanya majoini nemhasuru dzemuviri. Mamwe mazita anoshandiswa anosanganisira:

  • aquafitness
  • aqua aerobics
  • Aquarobics

Mhando dzakawanda dzinogona kuenderana nezvinodiwa nemunhu, kukuvara, uye / kana mamiriro. Iwo maekisesaizi ane akasiyana mabhenefiti ehutano, kunyanya kune avo vasingakwanise kuita mafambisirwo epamusoro.

Ainoita

Mvura aerobics inosanganisira kuita mamwe mafambiro anodzorwa senzira yekurovedza muviri. Mhando dzakasiyana dzinotarisa munzvimbo dzakasiyana dzehutano, kusanganisira (Harvard Health Publishing Harvard Medical School, 2023)

  • Strength training
  • Mwoyo
  • Nguva yekudzidziswa

Vanhu vanogonawo kuita mvura aerobics kana vachiziva mafambiro anobatanidzwa. (Harvard Health Publishing Harvard Medical School, 2023)

Zvakanakira Pool Exercises

Pane zvakawanda zvinobatsira zvinosanganiswa nemvura aerobics.

Nekuda kweiyo yakaderera-inokanganisa uye yakazara-muviri chimiro chezviitwa, vanhu vanogona kutarisira kuona kuvandudzwa (Pereira Neiva, H. et al., 2018) (Harvard Health Publishing Harvard Medical School, 2023)

Utano hwakabatana

  • Mvura aerobics yakapfava pamajoini uye kudiki strain.

Mwoyo

  • Kuramba kwemvura panguva yekurovedza muviri kunogona kuvandudza hutano hwemoyo pasina kusundidzira.
  • Zvidzidzo zvakaratidza kuti zvinogonawo kubatsira kudzora BP.

simba

  • Nekuda kwekudzivirira kubva mumvura, mamhasuru anoshanda zvakanyanya.

Kuonda

  • Iwo ekudzivirira mvura maexercises anopisa macalorie akawanda kupfuura ayo ari kunze kwemvura, izvo zvinogona kutungamira mukurasikirwa kwakawanda nekufamba kwenguva.

Mamiriro Ehutano Anogona Kubatsira

Mamwe ehutano mamiriro anogona kubatsira kubva mumvura aerobics anosanganisira (Harvard Health Publishing Harvard Medical School, 2023)

  • Kurwara kwenguva refu
  • chirwere chemumajoini
  • kufutisa
  • Hutano hwemwoyo
  • Ropa rinodzvinyirira
  • Kushungurudzika uye Kufunganya

midziyo

Vanhu vari kutora chikamu mumvura aerobics vachada sutu yekugezera, tauro, magirazi uye kepisi yekushambira kudzivirira maziso avo kana bvudzi kubva mumvura ine chlorine. Vanhu havadi zvimwe midziyo yakakosha pavanenge vachirovedza muviri sezvo mvura ichiita sekuwedzera kuramba. Foam dumbbells kana paddles anogona kushandiswa kuwedzera kuramba. Zvimwe zvingasarudzwa zvekushandisa zvinosanganisira: (Plunge San Diego, 2024) (Harvard Health Publishing Harvard Medical School, 2023)

  • Kickboards
  • Wrist uye zvitsitsinho zvinorema
  • Mabhandi ekumhanya-mhanya kwemvura
  • Bhawa rekushambira

Pool Exercises

Kune mhando dzakawanda dzemaekisesaizi edziva kubatsira kusvika pahutano uye kugwinya zvinangwa. Zvinosanganisira:

Kufamba Kwemvura

  • Chiito chekutanga chekufamba mumvura inzira yakanaka yekuwana muviri wakakwana.
  • Tanga nekumira mumvura yakadzika muchiuno netsoka dzakasimwa pasi pedziva.
  • Rebesa musana nekuunza mapendekete kumusoro uye kumashure uye kuenzanisa mapendekete nemahudyu nemabvi.
  • Pane imwe nzvimbo yakanaka yekutanga, famba mumvura, uchiisa chitsitsinho chekutanga uye zvigunwe, sekufamba kubva mumvura, uchitenderedza maoko kumashure uye mberi mumvura.
  • Ichi chiito chinogona kuitwa kwemaminitsi mashanu kusvika gumi.
  • Mamhasuru anozonyanya kutariswa ndiwo maoko, musimboti, uye muviri wepasi.

Arm Lifts

  • Simuka kusvika pamapfudzi mumvura.
  • Matinji akatarisa mudenga, dhonza magokora mudumbu uchisimudza maoko kumberi kwemuviri kumusoro kwemvura.
  • Kana wava pamusoro, tenderedza zvanza kuti zvitarise pasi uye zvishoma nezvishoma fambisa maoko kumashure pasi pasi kumativi.
  • Kuti uwedzere kuramba, chiitiko ichi chinogona zvakare kuitwa uchishandisa foam dumbbells.
  • Dzokorora chiito 10-15 nguva kune imwe kusvika kumatatu seti.
  • Mamhasuru anonangwa ndiwo musimboti nemhasuru dzemaoko.

Kusvetuka Jacks

  • Kuramba kwemvura kunoita kuti kusvetuka jack mumvura kuome zvakanyanya kupfuura pasi.
  • Kuti uite, tanga nekumira mumvura yechipfuva-yepamusoro makumbo ako pamwe chete uye maoko ako akananga pasi kumativi.
  • Kana wava panzvimbo, tanga panguva imwe chete uchitenderedza makumbo kudivi uye maoko pamusoro pemusoro usati wadzokera kunzvimbo yekutanga.
  • Tsandanyama dzakanangwa dzinosanganisira muviri wese uye hurongwa hwemoyo.
  • Wedzera zviyereso zvemaoko kana zviziso zvemakumbo kuti uwedzere kuramba uye kuita kuti chiitwa chinyanye kunetsa.

Mabviro Akakwirira-Kusimudza

  • Kuwedzerwa kwepamusoro-soro kwebvi kunoitwa wakamira mumvura yakadzika chiuno.
  • Kuti uite basa racho, shandisa core uye simudza gumbo rimwe munzvimbo yakakotama kusvikira yakwana nepamusoro pemvura.
  • Bata nzvimbo yacho kwemasekondi mashomanana, wobva wawedzera gumbo mberi uye ubatisise zvakare.
  • Mushure menguva yekubata, fambisa gumbo kumashure pasi nemumvura kusvika panzvimbo yekutanga apo uchirichengetedza uye uchishandura tsoka.
  • Dzokorora pamakumbo maviri maviri kusvika matatu seti ye15 reps pagumbo.
  • Shandisa zviyereso pamakumbo kuti uwedzere kupikisa.
  • Iwo mamhasuru anonangwa anosanganisira core, glutes, uye pasi pemuviri.

ngozi

Paunenge uchidzidzira mumvura, vanhu vangasacherechedza kuti vakadikitira zvakadini. Izvi zvinogona kuita kuti zviite sekuti kurovedza muviri hakuna kuoma uye kunogona kukonzera kupera simba. Vanhu vanofanirwa kugara vaine hydrate pamberi uye mushure mekudziva kurovedza muviri. Vanhu vasingakwanisi kushambira zvakanaka vanofanira kudzivisa maekisesaizi asingade mudziyo wekutsenga. Dzimwe nguva madziva anopisa, saka kusarudza imwe 90 madhigirii F kana pasi inokurudzirwa kuti muviri urege kupisa zvakanyanya paunenge uchisimbisa muviri.

Stop Pool Exercises Pakarepo

Kuita maekisesaizi edziva kunogona kuita sekunge kuri nyore kupfuura zvavari, zvichiita kuti ushande zvakanyanya. Rega kurovedza muviri nekukurumidza kana uchinzwa:

  • Marwadzo mune chero nzvimbo yemuviri
  • Kupfupika kwemhepo
  • Nauseated
  • Kufenda
  • Dzungu
  • Dzvinyiriro pamuviri wepamusoro kana chipfuva

Mamwe Mamiriro Ehutano Anobatsira

Mvura aerobics inokurudzirwa kune vanhu vazhinji, vane hutano hwakakwana kana vane chirwere chisingaperi. Avo vane chirwere chisingaperi vakaratidzwa kuti vanobatsirwa nemaitiro akaderera. (Faíl, LB et al., 2022Chimwe chidzidzo chakatarisa vanhu vane hutano hwakasiyana-siyana, nemigumisiro inoratidza kuti mamiriro ezvinhu anotevera akaona kuvandudzwa mushure memavhiki e12 ekudzidzira mvura nguva dzose (Faíl, LB et al., 2022)

  • chirwere cheshuga
  • chirwere chemumajoini
  • Fibromyalgia
  • Zvirwere zvepfupa
  • High blood pressure
  • Coronary artery disease
  • Kurohwa
  • Multiple sclerosis (MS)
  • Chirwere chePalinson

Nepo zvakanakira mvura maekisesaizi dzakadzidzwa uye dzakaratidzwa kuti dzinoshanda, vanhu vanofanirwa kucheneswa nenyanzvi yezvehutano vasati vatanga chero chirongwa chitsva chekurovedza muviri. Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vekutanga vehutano uye nyanzvi kuti vagadzirise hutano hwakakwana uye hutano mhinduro kuburikidza nenzira yakabatanidzwa yekurapa kukuvara uye kusingaperi kurwadziwa syndromes, kuvandudza kuchinjika, kufamba, uye agility zvirongwa zvekubvisa marwadzo uye kubatsira vanhu kudzokera normal. Vapepi vedu vanogadzira zvirongwa zvekuchengetedza zvemunhu zvemurwere wega wega. Kana mamwe marapirwo achidiwa, Dr. Jimenez akabatana nevarapi vepamusoro, nyanzvi dzekiriniki, vatsvakurudzi vezvokurapa, uye vagadziri vekugadzirisa kuti vape mishonga inobatsira zvikuru.


Chiropractic uye Integrative Healthcare


References

Harvard Health Publishing Harvard Medical School. (2023). Mhando dzekutanga dzemvura-based exercises. HealthBeat. www.health.harvard.edu/healthbeat/basic-types-of-water-based-exercise

Pereira Neiva, H., Brandão Faíl, L., Izquierdo, M., Marques, MC, & Marinho, DA (2018). Mhedzisiro yemavhiki e12 emvura-aerobics pahutano hwehutano uye kusimba kwemuviri: maitiro ezvakatipoteredza. PloS imwe, 13(5), e0198319. doi.org/10.1371/journal.pone.0198319

Harvard Health Publishing Harvard Medical School. (2024). Zvakanakira mvura-based exercise. HealthBeat. www.health.harvard.edu/healthbeat/advantages-of-water-based-exercise

Plunge San Diego. (2024). 5 inofanira-iine zvimedu zvekushandisa zvemumvura zvekushandisa zvemvura aerobics. Plunge San Diego. plungesandiego.com/what-equipment-needed-water-aerobics-shoes/

Faíl, LB, Marinho, DA, Marques, EA, Costa, MJ, Santos, CC, Marques, MC, Izquierdo, M., & Neiva, HP (2022). Mabhenefiti ekurovedza muviri mumvura muvakuru vane uye vasina chirwere chisingaperi-Kuongorora kwakarongeka nemeta-analysis. Scandinavian magazini yemishonga & sainzi mumitambo, 32(3), 465-486. doi.org/10.1111/sms.14112